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What Causes Pain During Urination?

Posted on Wed, 29 Jun 2016

Question: SIR.
I am 30 years old and posted in hilly area.For the whole one year i used to wear tight pants and now i am facing problem to urinate and burning sensation near my bladder. Urine is nml when in standing position but when i sit in in an toilet then facing problem to urinate and have to apply pressure to urinate. What to do please suggest.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Position of man while passing urine has no relevance in young individuals

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you are facing problem in passing urine in sitting position as against normal urine flow while passing in standing position .

Several scientific studies have been conducted on this problem and it has been unanimously found and accepted that passing urine in sitting position is more suitable than in standing position in patients with lower Urinary Tract Symptoms like patients with Enlarged prostate and at old age .However there is no change in Urodynamic parameters in young individuals in either sitting or standing positions.

Problem of difficulty in passing urine in standing position that you have may be due to pressure over sphincter of urethra that causes problem in initiating urination due to tight clothes .

I would suggest you to ware loose innerwares and pants for couple of weeks and observe the change .

As regards burning while passing urine it could be due to UTI .

Get routine urine test done to confirm he same .

Taking antibiotic like Norfloxacin twice daily along with Nitrofurantoin and urine alkaliser for a week will help to resolve the issue of burning urination .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (40 minutes later)

sir,
thanks for ur answer, i want to add some more information in my question. sir i am unmarried and used to masturbate 2 to 3 times in a week. last month i faced burning sensation after masturbation and that was the time when all this bad things start. after that i stopped masturbation. One night i have nightfall after that i felt some injury in my urethra. Then i observed frequent desire to urinate. . I take some multivitamins and neeri tablets (ayurvedic) then after sometime all thing became normal. But it starts again and i felt burning sensation in my bladder for whole day. Presently i am facing problem to urinate when i goes to pass the stool. i have to apply the pressure to urine and it comes some drops only. when i urinate in standing position the urine comes out freely but i feel some drops stuck in my urethra and when i sit in chair it comes out. Sir whether all this condition is normal . Sir i am posted in such area where no medical facility is available and i am very depressed. I am also going to XXXXXXX for the treatment. Sir i have read many information in internet and observed it is not normal in my age. whether i suffered with enlarge prostate. sir please help me...... sorry for my bad english

Answered by Dr. Dr. P. T. Patil (7 minutes later)

Brief Answer:
Possibility of Prostatitis has to be ruled out

Detailed Answer:
Hello
Thanks for follow up .In view of history of frequent masturbation and symptoms that you have It is likely that you have developed infection of Prostate (Prostatitis).

As you are planning to go to XXXXXXX in near future consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.

In the mean while start taking antibiotics like Doxicycline and Nitrofurantoin twice daily .It should be freely available in dispensary of your regiment .

Ensure to drink more water .

Further treatment will depend upon result of these tests and final diagnosis.

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (4 hours later)

thanks u sir for your valuable answer. sir i will take all the tests u suggested. Sir one more thing i want to know from u, sir i am likely to be married in December this year , whether these things create any problem in my future married life ,,

Thanks

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
It will not affect your sexual potency .

Detailed Answer:
Hello
Thanks for follow up .
Go ahead and get married .It will not have any negative effect on your sexual potency .

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar